研究目的

To review and compare the current surgical techniques of enucleation in holmium laser enucleation of the prostate (HoLEP) for benign prostatic hyperplasia, focusing on the original three-lobe technique and its modifications, including en bloc enucleation methods.

研究成果

Modifications of the original three-lobe technique have been developed to improve surgical outcomes, and several en bloc enucleation methods have also been introduced. However, compared to the original technique, more clinical evidence is needed to show the superiority of newer techniques over the original three-lobe technique in terms of efficacy and long-term side effects. So far, none of the newer techniques have been accepted as a standard technique for HoLEP. Standardization of a more simplified and effective HoLEP technique can significantly help beginners to overcome the learning curve more efficiently.

研究不足

The paper notes that more clinical evidence is required to show the superiority of newer techniques over the original three-lobe technique in terms of efficacy and long-term side effects. Additionally, the learning curve associated with technical aspects of the surgery is a major negative factor that hinders widespread use of this procedure.